Individual
MRS. DANA S TRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, STS, CEAS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05623778
BLUECROSS/BLUE SHIELD
IL
01
—
070010460
STATE LICENSE NUMBER
IL
Enumeration date
07/05/2006
Last updated
04/26/2010
Update your record
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